Note that Medicare Advantage plans are run by private companies that have a profit motive. So, they can maximize their profit by screening out providers based on how many claims and the types of claims they submit. And, that is why they require patient copays. Also, they have an incentive to prevent fraudulent claims and wasteful claims.
By contrast, Original Medicare is run by a bureaucratic Federal Government agency that has no profit motive. They have no incentive to reduce costs by screening out any providers, regardless of how many claims they submit. With a Supplement plan, the patient can avoid copays. And, they make very little effort to prevent fraudulent and wasteful claims.
Just my observation. I don't know which system is better for the patient, but I think the Advantage model makes more sense for the taxpayers.
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